Provider Demographics
NPI:1285098558
Name:ASPEN MOBILE HEALTH
Entity type:Organization
Organization Name:ASPEN MOBILE HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:BARTELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-205-9000
Mailing Address - Street 1:178 RIVER BOAT DR
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:CO
Mailing Address - Zip Code:81647-9458
Mailing Address - Country:US
Mailing Address - Phone:630-205-9000
Mailing Address - Fax:888-463-2644
Practice Address - Street 1:178 RIVER BOAT DR
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:CO
Practice Address - Zip Code:81647-9458
Practice Address - Country:US
Practice Address - Phone:630-205-9000
Practice Address - Fax:888-463-2644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR0006933111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty